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Statement of the Problem: Healthcare is mandating a fundamental change from Volume Based to Value-Based Care. This transition
requires the evaluation of a vast number of evidence-based care measures that have been identified as defining Value in the primary
care setting. The number and complexity of measures warrant a team-based approach for this change. This shift is essential for
all providers to ensure evidenced-based, patient-centered care. It will present a challenge for those practices accustomed to the
traditional provider is driven, models. A successful strategy will require clear staff roles and defined value measures. An electronic
process was created to serve as a checklist for evaluating the status of required care measures and assigned to staff commensurate
with licensure. Clear workflow processes were established. The electronic document served as the data collection tool for the primary
measure of staff accountability
Methodology: A comparative ratio was used to define staff accountability in the review of measures assigned and evaluated front
office, nursing, and providers. It reviewed the numbers of measures evaluated as compared to those that required evaluation. Pre and
post-study of Value-Based Care measures were obtained at a six-month interval.
Findings: Results revealed front office staff to be 92% accountable, nursing 91% and providers 76% accountable. Secondary measures
demonstrated 30 of 45 measures were improved. The benefit of staff accountability and clearly defined staff roles was illuminated
in attaining quality patient care. Implications for practice: The evolution of medicine to Value-Based Care models will require the
ongoing development of strategies to meet Triple Aim objectives. Measures of staff accountability, clearly defined roles, and a checklist
format can assist in the attainment of high quality, patient-centered care.